Clea Marie Fairaizl in Poplar Bluff - Clinical
Clea Marie Fairaizl - NPI 1285814970
Clea Marie Fairaizl is a Clinical in Poplar Bluff, Missouri. Clea Marie Fairaizl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clea Marie Fairaizl is 1285814970. The last update date is 2022-03-17.
Clea Marie Fairaizl's current location address is 3001 Warrior Ln, Poplar Bluff, Missouri. You can contact this provider via phone number 5736861200. The mailing address for Clea Marie Fairaizl is 3001 Warrior Ln, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clea Marie Fairaizl |
|---|---|
| Address | 3001 Warrior Ln, Poplar Bluff, Missouri |
| Phone Number | 5736861200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1285814970 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2022-03-17 |
Provider Mailing Address Detail
| Address | 3001 Warrior Ln |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639018685 |
| Phone Number | 5736861200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2017011361 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Clea Marie Fairaizl?
The Clea Marie Fairaizl has been issued the NPI (National Provider Identifier) 1285814970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Clea Marie Fairaizl's physical address?
The Clea Marie Fairaizl is physically located at 3001 Warrior Ln, in the city of Poplar Bluff, MO, with the postal code 639018685.
What is Clea Marie Fairaizl's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clea Marie Fairaizl is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Clea Marie Fairaizl receive the assignment of its 1285814970 from the Centers for Medicare & Medicaid Services?
The Clea Marie Fairaizl was issued its 1285814970 by the Centers for Medicare & Medicaid Services on 2007-11-09.
When was the information related to Clea Marie Fairaizl most recently updated or refreshed?
The details pertaining to the Clea Marie Fairaizl, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-03-17.